Organization Active NPI

Klein Dental Group

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1104935949
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5880 Issued in KY
Legal business name
KLEIN DENTAL GROUP
Practice address
156 Thierman LN
Louisville, KY 40207-5010
Phone
(502) 896-2822
NPI assigned
Aug 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeffrey Maurice Klein, D.M.D.NPI 1386811487
Title
Owner
Phone
(502) 896-2822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5880 KY Primary

Addresses

Primary practice location

156 Thierman LN
Louisville, KY 40207-5010

Mailing address

156 Thierman LN
Louisville, KY 40207-5010
Phone (502) 896-2822

National Provider Directory

National Provider Directory

Locations

156 Thierman Ln
Louisville, KY 40207
Phone (502) 717-1972

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104935949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 THIERMAN LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075010",
            "telephone_number": "502-896-2822",
            "fax_number": "502-896-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 THIERMAN LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075010",
            "telephone_number": "502-896-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEIN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-896-2822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.